| Doctor Name: | JACKIE LYNN NICHOLS |
| NPI Number: | 1760607774 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD, MPH |
| License Number: | MD035751 |
| Business Practice Address: | 2003 Medical Pkwy Ste 250 Annapolis, MD - 214017992 |
| Business Phone Number: | 4102242228 |
| Business Fax Number: | |
| Mailing Address: | 1346 N Carolina Ave Ne, WASHINGTON |
| State: | DC |
| Postal Code: | 200026424 |
| Phone Number: | 2025435576 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | MD035751 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |